Medical errors


Communicating Critical Test Results Toolkit 03/19/08

This toolkit is designed to facilitate the communication of critical test results from the lab or nurse to the physician. Critical test results are defined as any test result that may result in serious outcomes for patients. Improving communication of critical test results can reduce the rate of adverse events, because the physician has time to intervene.

The toolkit includes the following:

  • A sample worksheet for recording the reporting of critical values
  • Sources of...
Ensuring Correct Surgery 12/17/07

This pamphlet will help patients understand what will happen before they undergo surgery.

This pamphlet describes what patients can expect during the following time frames:

  • Days to a couple of hours before the surgery
  • An hour, or less, before the surgery
  • Just before surgery begins

10 Patient Safety Tips for Hospitals 12/17/07

Medical errors can occur at many points in the health care system, particularly in hospitals. This 2-page fact sheet provides the following 10 tips that hospitals can implement to improve patient safety:

  • Assess and improve patient safety culture (by surveying unit staff)
  • Build teamwork (by improving staff communication)
  • Limit shifts for hospital staff, if possible
  • Insert chest tubes safely
  • Prevent central line-related bloodstream infections...
A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook 12/17/07

This 200-page resource manual outlines a systems approach to medication management in long-term care. It is designed to provide nursing home staff with a step-by-step guide through the key processes of a comprehensive medication management system and address areas that can lead to the reduction of medication errors. In addition, tools are offered as strategies to reduce the incidence and harm of errors.

The topics addressed in this manual include the following:

Mistake-Proofing the Design of Health Care Processes 12/17/07

Mistake-Proofing the Design of Health Care Processes is a synthesis of practical examples from the real world of health care on the use of process or design features to prevent medical errors or the negative impact of errors. It contains over 150 examples of mistake-proofing that can be applied in health care–and in many cases relatively inexpensively.

In Mistake-Proofing the Design of Health Care Processes, risk managers and chief medical officers will benefit from common-sense...


This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.